Key Points in a Discussion of Newborn Screening Before Delivery
Learning Objectives and CME/Disclosure Information
This activity is intended for healthcare providers delivering care to women and their families.
After completing this activity, the participant should be better able to:
1. Recall the optimal time to discuss newborn screening 2. Discuss the use of residual dried blood spots
Estimated time to complete activity: 0.25 hours
Susan J. Gross, MD, FRCSC, FACOG, FACMG President and CEO, The ObG Project
Disclosure of Conflicts of Interest
Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.
Faculty: Susan J. Gross, MD, receives consulting fees from Cradle Genomics, and has financial interest in The ObG Project, Inc.
Planners and Managers: The PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, MBA, MSN, RN, and Jan Schultz, MSN, RN, CHCP have nothing to disclose.
Method of Participation and Request for Credit
Fees for participating and receiving CME credit for this activity are as posted on The ObG Project website. During the period from Dec 31 2017 through Dec 31 2021, participants must read the learning objectives and faculty disclosures and study the educational activity.
If you wish to receive acknowledgment for completing this activity, please complete the post-test and evaluation. Upon registering and successfully completing the post-test with a score of 100% and the activity evaluation, your certificate will be made available immediately.
For Pharmacists: Upon successfully completing the post-test with a score of 100% and the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.
Joint Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and The ObG Project. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Continuing Medical Education
Postgraduate Institute for Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Nursing Education
The maximum number of hours awarded for this Continuing Nursing Education activity is 0.2 contact hours.
It is important to discuss newborn screening (NBS) at various points during prenatal care. Optimal times include both the first and third trimesters, when reviewing other educational topics or when discussing plans for labor and delivery.
Implement procedures for discussion of NBS in your practice setting, to allow for consistent, achievable and documented discussions
Consider use of multimedia approaches to reduce staffing time and costs and avoid use of scheduled appointment time
Discuss importance of NBS in early detection for various life threatening and/or life altering conditions
Explain procedure will involve a “heel prick” to obtain several blood spots and is of minimal risk to the newborn
Explain testing is for a range of conditions, some mild and easily manageable and some very serious, possibly life threatening, if not detected early and managed appropriately
Example: congenital hypothyroidism can be easily treated to prevent developmental delay and poor growth
Review the need for possible retesting and/or additional genetic counseling and evaluation in setting of positive screening tests to determine actual diagnosis and rule out false positives
Review mandatory nature of NBS with the option to ‘opt out’ in some states
Numerous studies have shown prenatal patients are interested in learning more about NBS. Education about NBS can play a key role in reducing patient anxiety in the event a newborn’s results are screen positive and the new parents are contacted to discuss possible retesting and further diagnostic evaluations.
Residual dried blood spots (DBS) are retained in many states for varied purposes following NBS completion and include quality control, forensics, and research with de-identified samples which requires parental permission. Education is generally effective in improving support for DBS research
Consent procedures for DBS usage will vary from state to state
In addition to the heel stick, vision and hearing assessments will be performed in some states
Information will be communicated, most likely, through the pediatrician after birth
NBS is ‘screening’ and requires confirmation usually in the few weeks following delivery
ACMG has developed ACTion (ACT) sheets to aid providers in communicating positive NBS results to parents as well as initial management steps
OBG Project CME requires a modern web browser (Internet Explorer 10+, Mozilla Firefox, Apple Safari, Google Chrome, Microsoft Edge). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, or Real Networks Real One Player.
Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Jointly provided by
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